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Home My WebLink AboutFlickinger - 410 - 07-26-2018 AmendmentStatement of Organization Recipient Committee Statement Type ❑ initial Not yet qualified or O Date qualified as committee ® Amendment ❑ Termination — See Part 5 -�� -/—/ Date qualified as committee Date of termination JUL z 6 20?8 Q CITY CLERK For Official Use Only 1 1 1. Committee Information I.D. Number 1406806 2. Treasurer and Other Principal Officers (If applicable) NAME OF COMMITTEE NAME OF TREASURER Flickinger for Council 2018 April Dury STREET ADDRESS (NO P.O. BOX) Arroyo Grande CA 93420 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IFANY San Luis Obispo CA 93401 Sarah Flickinger MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS (NO P.O. BOX) E-MAIL ADDRESS(REQUIRED)/FAX(OPTIONAL) CITY STATE ZIP CODE AREA CODE/PHONE flickingerforcou nci 1201 8@gm ail. corn San Luis Obispo CA 93401 COUNTY OF DOMICILE JURISDICTION WHERE COMMITTEE 15 ACTIVE NAME OF PRINCIPAL OFFICER(S) San Luis Obispo ity of San Luis Obispo Sarah Flickinger STREET ADDRESS (NO P.O. BOX) Attach additional information on appropriately labeled continuation sheets. CITY STATE ZIP CODE AREACODE/PHONESan Luis Obispo CA 93401 3. Veri 'cation I have used all reasonable diligence in preparing this statepent and to the best of my k wiedge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the OFFICEHOLDER, CANDIDATE, OR STATE MEA5URE PROPONENT Executed on By DATE SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STATE YEASSIRE PROPONENT FPPC Form 410 (February/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Flickinger for Council 2018 • All committees must list the financial institution where the campaign bank account is located. NAME OF FINANCIAL INSTITUTION AREA CODE/PHONE BANK ACCOUNT NUMS?A Union Bank 1805-283-5140 ADDRESS CITY STATE ZIP CODE 995 Higuera Street San Luis Obispo CA 93401 4. Type of Committee Complete the applicable sections. Page 2 I.D. NUMBER 1406806 • List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and district number, if any, and the year of the election. • List the political party with which each officeholder or candidate is affiliated or check "nonpartisan." Stating "No party preference" is acceptable, • If this committee acts jointly with another controlled committee, list the name and identification number of the other controlled committee. ELECTIVE OFFICE SOUGHT OR HELD YEAR OF PARTY NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT (INCLUDE DISTRICT NUMBER IF APPLICABLE) ELECTION Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S)JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) SUPPORT 0 Nonpartisan Partisan {list political party below) Sarah Flickinger San Luis Obispo City Council 2018 0 Nonpartisan Partisan (list political party below) D Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(S) NAME OR MEASURE(S) FULL TITLE (INCLUDE BALLOT NO. OR LETTER) IF A RECALL, STATE "RECALL" IN FRONT OF THE OFFICEHOLDER'S NAME. CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S)JURISDICTION (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) FPPC Form 410 (February/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SUPPORT 0 OPPOSE EJ SUPPORT ED OPPOSE 0- FPPC Form 410 (February/2018) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE Page 3 .OM M ITTEE NAME I.D. W!", as Flickinger for Council 2018 1406806 4. Type of Committee (Continued) Not formed to support or oppose specific candidates or measures in a single election. Check only one box: ❑ CITY Committee ❑ COUNTY Committee ❑ STATE Committee ❑ Political Party/Central Committee PROVIDE SRIEf DESCRIPTION OF ACTIVITY List additional sponsors on an attachment. NAME OF SPONSOR Jl K t1 R31ux"]' NO. AND STREEI 6 Smoll Contributor Committee CITY GROUP OR AFFILIATION OF SPONSOR STATE ZIP CODE AREACODE/PHONE S. Termination Requirements By signing the verification, the treasurer, assistant treasurer and/or candidate, officeholder, or proponent certify that all of the following conditions have been met: • This committee has ceased to receive contributions and make expenditures; • This committee does not anticipate receiving contributions or making expenditures in the future; • This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations; • This committee has no surplus funds; and • This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions. -- There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government Code Section 89519. -- Leftover funds of ballot measure committees maybe used for political, legislative or governmental purposes under Government Code Sections 89511- 89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5. FPPC Form 410 (February/2018) Clear Page Print FPPC Advice: advice@fppc.ca,gov (866/275-3772) www.fppc.ca.gov